Inspection on 02/12/05 for Haighfield Nursing Home

This inspection was carried out on 2nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Haighfield Nursing Home 22/02/07

Haighfield Nursing Home 22/02/06

Haighfield Nursing Home 11/02/05

Haighfield Nursing Home 05/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Haighfield Nursing Home 241 Wigan Road Standish Wigan Lancashire WN1 2RF Lead Inspector Judith Stanley Unannounced Inspection 2nd December 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Haighfield Nursing Home Address 241 Wigan Road Standish Wigan Lancashire WN1 2RF 01942 821165 01942 510750 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) M & A Management Mrs Linda Gallagher Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 45 service users to include:up to 45 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 11th February 2005 Date of last inspection Brief Description of the Service: Haighfield Care Home offers nursing and personal care and support for up to 45 service users over the age of 65 years. Haighfield is situated on the main road between Wigan and Standish. Local amenities are a short drive away form the home. The home is a four storey, purpose built home, with a purpose built extension. The home offers 35 single rooms and five shared rooms, some rooms have en suite facilities, however all rooms have a hand basin and bathrooms and toilets are in close proximity to service users accommodation and communal areas. The home offers two small patio areas at the rear of the home but outside garden space is limited. The external areas are well maintained and the grounds are well presented. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a 4 - hour period on one day. The first part of the morning was spent observing staff carrying out their regular duties and talking with residents, relatives and staff. The rest of the time was spent looking at some records the home holds on residents (care plans) and making a tour of the premises. What the service does well: What has improved since the last inspection? A new carpet has been fitted in the lounge/dining area. The appointment of an office administrator has been beneficial in assisting the manager with the office duties. The manager has introduced a customer welcome pack for new and prospective residents. Staff training is progressing well with 70 of staff having completed training in National Vocational Qualification (NVQ) level 2. Three staff have successfully achieved NVQ level 3. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the key standards were inspected on this occasion. These will be inspected at the next inspection. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,9 and 10 The standard of care planning and review was good, providing staff with the information they needed to meet the residents’ needs. The health needs of the residents were met, with evidence of inter-agency working, as needed. Staff were working hard to ensure that residents were treated with dignity and that their privacy was maintained. Medication records were well maintained and did accurately record the handling of medication in the home. EVIDENCE: Individual care plans were available for inspection. Examination of three files indicated that all aspects of resident’s health and personal care needs are planned for. All three files inspected were found to be up to date and had been reviewed on a monthly basis and any changes to the planned care had been documented. The manager confirmed that residents and relatives had been involved in the drawing up of the care plans, however there were no signatures on files to evidence this. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 10 Detailed risk assessments were in place on each of the files inspected. They covered areas such as nutrition, pressure areas, moving and handling and falls. Ther health care needs of the residents were met with evidence of multidisciplinary working taking place on a regular basis. The residents and relatives spoken with all said they were happy with the care provided. Staff at the home were observed treating residents with privacy and dignity. Two members of staff were observed using the hoist to transfer a resident from a wheelchair to a comfortable chair, it was noted that staff rearranged the residents dress before lifting her in the sling. Staff were seen to knock on toilet and bedroom doors before entering. The manner in which staff spoke with residents was natural, respectful and friendly. The morning and lunchtime medication rounds were observed; the nurse in charge administered both rounds. Medication was suitably stored and recorded on the individual’s drug sheets. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 The home provides an excellent range of activities that takes account of individual expectations and preferences, and provides good opportunities for social inclusion. The meals in this home are good, offering choice and variety and catering for special dietary needs. EVIDENCE: The records showed that activities offered by the home are good. There are trips out organised on a regular basis. Residents had been invited to the carol service at the school close by and were looking forward to an afternoon out. The planned Christmas festivities included entertainment from a local artist and residents spoken with were looking forward to the concert and the Christmas party. Other activities include bingo, dominoes and arts and crafts. Residents are free to pursue their own interests; one resident enjoys playing her own choice of music in the privacy of her own room. Several residents were spoken with regarding to the food and said they were happy with the quality, quantity and choice that was available. While Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 12 breakfast is flexible, lunch and tea are served at set times. A choice of hot and cold drinks is available throughout the day and fresh fruit is in baskets in the lounge for residents too help themselves to. On the day of the inspection the choice at breakfast time consisted of fruit juice, grapefruit, porridge, cereals, poached or scramble eggs, bacon, toast and preserves and tea or coffee. Lunch is the main meal the day and the main choice was poached salmon with tomatoes, chipped potatoes and green beans, followed chocolate sponge and custard, fresh fruit or yoghurts. A lighter afternoon tea is served and a choice of soup, sandwiches and salad followed by jelly ice cream was available. Choices to the main dishes are available at all meals times. It was encouraging to see the chef come up from the kitchen and serve meals in the dining room; this provides him with the opportunity to see what the residents enjoy and how much food is returned. Staff were observed to provide assistance and reassurance when it was needed, but independence was encouraged. Special diets can be catered for as required. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Systems were in place with regard to the investigation of complaints and adult protection issues, ensuring that residents were listened to and protected. EVIDENCE: A complaints system was in place, which was displayed in the home, two residents spoken with knew about the complaints procedure, but said if they had any concerns they would discuss them with the manager or staff. There have been no complaints made since the last inspection and no complaints have been forwarded to the CSCI. Staff are clear about their obligations in protecting residents from abuse in any of its forms. Staff have undertaken training on the protection of vulnerable adults and suitable policies are in place for them to refer to. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The standard of the environment within Haighfield is good, providing residents with a comfortable and homely place to live. Infection control procedures are good, making this a clean environment for residents. EVIDENCE: From a tour of the building, it was seen that the premises were being maintained to a good standard, both inside and out. There was evidence if redecoration and some renewal of fabric and furnishings. The lounge/dining carpet has recently been replaced and has added finishing touches to a pleasant communal area. The premises were clean and free from offensive odours throughout and residents and relatives spoken with complimented the domestic staff on the levels of cleanliness maintained. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 15 Systems were in place to control the spread of infection. Staff were knowledgeable about infection control procedures and were observed wearing different coloured aprons and gloves for different tasks. Hand sanitizers are fitted around the home to encourage staff, residents and visitors to cleanse their hands to prevent the spread of infection. The laundress was spoken with and confirmed that all equipment was in good working order. Resident’s clothes were observed to be nicely washed and ironed and returned to rooms. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Staff morale is good, with low levels of sickness and turnover. This ensures residents are provided with care by people know and are familiar with. The recruitment and selection procedures are robust and provide safeguards to offer protection to people living in the home. EVIDENCE: The staff team have worked at the home for some considerable time. This helps provide continuity and a high standard of care for the residents. One relative spoken with said, “the staff are great, they do a good job”. One resident spoken with said she liked living at the home, she felt safe and well looked after. All the necessary recruitment checks have been undertaken to ensure the protection of residents. Criminal Records Bureau checks (CRB) and obtained prior to commencing work and suitable written references sought. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 The manager of the home provides strong leadership; guidance and support to staff to ensure residents receive a consistent high standard of care. A satisfactory accounting system was in place, which protected resident’s interests. All staff has received health and safety training to ensure the health, safety and welfare of the residents and staff are promoted and protected. EVIDENCE: The manager is well supported by the senior staff and provides clear leadership to all staff demonstrating an awareness of their individual roles and responsibilities in a continuous effort to maintain high standards of care to residents. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 18 The home had a satisfactory accounting system in place. The administrator could determine exactly how much money the home was holding for each resident and how the money was spent. Receipts for financial transactions were kept. Safety issues were satisfactory with regular checks of equipment being undertaken. All accidents and incidents were being correctly recorded and reported. From discussion with the manager and checking staffing training records it was clear that mandatory heath and safety training had been implemented and updated as required. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 3 Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations The registered person should continue to forward to the CSCI Regulation 26 monthly. Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Haighfield Nursing Home DS0000005680.V266695.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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